Provider Demographics
NPI:1093754657
Name:HUNT, DAVID W (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:HUNT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8409 SW 80TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-9117
Mailing Address - Country:US
Mailing Address - Phone:352-414-1922
Mailing Address - Fax:844-388-6186
Practice Address - Street 1:8409 SW 80TH ST STE 8
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9117
Practice Address - Country:US
Practice Address - Phone:352-414-1922
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11163207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01674304Medicaid
G34956Medicare UPIN
NY01674304Medicaid
474622Medicare ID - Type Unspecified